News from aidsmap

Nearly a quarter of people who want PrEP currently can’t get it, English survey finds

A study of pre-exposure prophylaxis (PrEP) use conducted by Public Health England in collaboration with PrEPster and IWantPrEPNow finds that a significant proportion of the gay men who took part have been unable to access PrEP, despite wanting it. Men from outside London found it particularly hard to get hold of PrEP.


Loss of lay counsellors leads to fall in HIV testing in KwaZulu-Natal

The withdrawal of lay counsellors from primary health clinics in KwaZulu-Natal led to a sharp fall in the number of people taking an HIV test in 2015, a study published in advance online in the journal AIDS has shown. The findings highlight the important role that lay counsellors play in increasing the number of people diagnosed with HIV in a sub-Saharan African setting, the researchers say.


Early adopters of PrEP in Kenya and Uganda more likely to be male and older

It is feasible to offer pre-exposure prophylaxis (PrEP) as part of community-wide HIV testing campaigns in East Africa, with a fifth of adults who were identified as eligible for PrEP starting it within 30 days, researchers from the SEARCH collaboration report in Clinical Infectious Diseases. Early adopters were more likely to be male, older, in a serodiscordant relationship or in a polygamous marriage.


Transmitted drug resistance now less likely to harm HIV treatment options, US study finds

The rising prevalence of transmitted antiretroviral drug resistance in the United States is unlikely to affect the success of first-line treatment in the future and is largely unconnected with recent treatment failure in people already on antiretroviral therapy, a large analysis published in Clinical Infectious Diseases shows.


Viral suppression reduces cancer risk but does not affect common cancers

People with HIV whose viral load has been fully suppressed for at least two years have a significantly lower risk of developing any form of cancer than other people with HIV, but still retain a higher risk of developing cancer than HIV-negative people of a similar age, a study of US military veterans published in Annals of Internal Medicine shows.


Syphilis and gonorrhoea cases at highest levels for decades, Public Health England confirms

The latest sexually transmitted infections (STI) surveillance report from Public Health England (PHE) confirms that cases of the bacterial STIs gonorrhoea and syphilis have continued to rise in England.


Frailty in men with HIV linked with bone weakness, muscle loss and large waist

Frailty is twice as prevalent in middle-aged and elderly HIV-positive men as in their HIV-negative peers, investigators from the Multicenter AIDS Cohort Study (MACS) report in AIDS. Risk factors were abdominal obesity, loss of skeletal muscle mass (sarcopenia) and osteoporosis and these did not differ by HIV status. Men with HIV with the highest waist measurements were seven times more likely to be living with frailty than men with lower waist measurements.


New TB cases occur rapidly among close contacts of people with pulmonary TB

The close contacts of people with active pulmonary tuberculosis (TB) have high rates of the disease, according to US and Canadian research published in The Journal of Infectious Diseases. Almost one in twenty close contacts contracted TB, with three-quarters of diagnoses made within three months of the diagnosis of the index patient.


Editors' picks from other sources

All-access for blockbuster TB drug in South Africa

from Health-e

The country made history on Monday when the health department announced that all people with drug-resistant tuberculosis (TB) will be eligible to receive the new medicine, bedaquiline.

The whitewashed history of HIV: a black teen died of AIDS in 1969

from The Advocate

The story of Robert Rayford symbolises how the story of HIV has been told through a white lens – for nearly 50 years.

‘Opt-out’ testing for HIV and hepatitis C is seen as coercive by many prisoners

from Avert

A new study among people entering prison in the USA suggests ‘opt-out’ testing approaches for HIV and hepatitis C virus may need reconsideration.

How to deal with conflicts about ex-lovers, HIV, Trump and more

from Poz

A provocative interview with author Sarah Schulman also reveals the most pressing issues facing gay people and the HIV community.

Russia’s HIV/AIDS epidemic is getting worse, not better

from Science

Almost anywhere in the world, an HIV-positive woman who has a negative partner and wants to have a baby would be first in line to receive antiretrovirals. The challenges Katia faced in getting treatment amid Russia’s epidemic highlight the country’s faltering response, which critics have blasted as misguided, lackadaisical, and downright dismissive.

UNAIDS – past time to get serious

from Benedict Plumley (blog)

"UNAIDS still has much work to do. It is not doing that work because it is paralyzed by crisis. If UNAIDS doesn't change, it will have no future."